Puzzle Book $00.25
. Total
Ordered By: Ship To:
Name Name
Address Address
City, State City, State
Zip Code Zip Code

Signature___________________________________________  Date____________


 
 Checks payable to - New York State Department of Agriculture and Markets
 Cash and Credit Card not accepted.

Mail to:  NYS Dept of Agriculture & Markets
             Statistics Division/Puzzle Order
             10B Airline Drive
             Albany, NY  12235
 .